Genital candidiasis Flashcards
How many percent of women have vaginal colonization by candida?
More than 20% of women have vaginal colonization by Candida.C.albicans accounts for 80 to 90% of genital isolates.
How many percent of women have 1 episode or 2 episodes?
Seventy five % percent of women experience at least one episode;
40 to 45% two or more episodes
RF
Diabetesmellitus and HIV disease
.Females:pregnancy.
Males: uncircumcised
Manifestation of vulvitis / vulvovaginitis
VULVITIS/VULVOVAGINITIS
Onset often abrupt, usually the week before menstruation. Symptoms may recur before each menstruation.
Pruritus, vaginal discharge, vaginal soreness, vulvar burning, dyspareunia, and external dysuria.
Vulvitis. Erosions, edema, erythema
swelling, and removable curd-like material. Pustule on lateral vulva and adjacent skin
Vulvovaginitis. Vaginal erythema and edema; white plaques that can be wiped off vaginal and/or cervical mucosa
Balanoposthitis manifestation
Balanoposthitis, balanitis glans, and preputial sac: Papules, pustules, and erosions (Fig. 26-11). Maculopapular lesions with di -
use erythema. Edema, ulcerations, and ssur- ingo prepuce,usuallyindiabeticmen;white plaquesunder oreskin.
Diagnosis
KOH
Treatment
Azole creams/ suppository.
Treat sexual partners.
consider systemic tx if recurrent